ArticleBMJ open2016
Time trends in educational inequalities in cancer mortality in Colombia, 1998-2012.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Colombia: A systematic review.Pharmacology research & perspectives · 2020Pooled it
- Optimising the European Code Against Cancer, 5th edition, to increase awareness of avoidable cancer risks in all socioeconomic groups.Molecular oncology · 2026Trial
- The impact of education level on all-cause mortality in patients with atrial fibrillation.Scientific reports · 2024Article
- Relationship between universal health insurance benefits and prostate cancer mortality in Colombia.BMC public health · 2024Article
- Impact of the universal health insurance benefits on cervical cancer mortality in Colombia.BMC health services research · 2024Article
- Socioeconomic inequalities in cancer mortality between and within countries in Europe: a population-based study.The Lancet regional health. Europe · 2023Article
- Intraurban Geographic and Socioeconomic Inequalities of Mortality in Four Cities in Colombia.International journal of environmental research and public health · 2023Article
- 100 YEARS OF VITAMIN D: Dietary intake and main food sources of vitamin D and calcium in Colombian urban adults.Endocrine connections · 2021Article
- Education and pneumonia mortality: a trend analysis of its inequalities in Colombian adults.BMJ open respiratory research · 2020Article
- Overcoming Barriers in the Implementation of Programs for Breast and Cervical Cancers in Cali, Colombia: A Pilot Model.Journal of global oncology · 2019Article
- Quality of death certification in Colombia.Colombia medica (Cali, Colombia) · 2018Article
- Breast and cervical cancer survival at Instituto Nacional de Cancerología, Colombia.Colombia medica (Cali, Colombia) · 2018Article
- Educational inequalities in premature mortality in Poland, 2002-2011: a population-based cross-sectional study.BMJ open · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate trends in premature cancer mortality in Colombia by educational level in three periods: 1998-2002 with low healthcare insurance coverage, 2003-2007 with rapidly increasing coverage and finally 2008-2012 with almost universal coverage (2008-2012).
settingColombian population-based, national secondary mortality data.
participantsWe included all (n=188,091) cancer deaths occurring in the age group 20-64 years between 1998 and 2012, excluding only cases with low levels of quality of registration (n=2902, 1.5%). PRIMARY AND SECONDARY OUTCOME MEASURES: In this descriptive study, we linked mortality data of ages 20-64 years to census data to obtain age-standardised cancer mortality rates by educational level. Using Poisson regression, we modelled premature mortality by educational level estimating rate ratios (RR), relative index of inequality (RII) and the Slope Index of Inequality (SII).
resultsRelative measures showed increased risks of dying among the lower educated compared to the highest educated; this tendency was stronger in women (RRprimary 1.49; RRsecondary 1.22, both p<0.0001) than in men (RRprimary 1.35; RRsecondary 1.11, both p<0.0001). In absolute terms (SII), cancer caused a difference per 100 000 deaths between the highest and lowest educated of 20.5 in males and 28.5 in females. RII was significantly higher among women and the younger age categories. RII decreased between the first and second periods; afterwards (2008-2012), it increased significantly back to their previous levels. Among women, no significant increases or declines in cancer mortality over time were observed in recent periods in the lowest educated group, whereas strong recent declines were observed in those with secondary education or higher.
conclusionsEducational inequalities in cancer mortality in Colombia are increasing in absolute and relative terms, and are concentrated in young age categories. This trend was not curbed by increases in healthcare insurance coverage. Policymakers should focus on improving equal access to prevention, early detection, diagnostic and treatment facilities.
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